Care Theme: HIT Innovations Use Case Medical Device Integration – Completing the Last Mile

Primary Goal: To show research that enables seamless standards-based connectivity starting from a patient’s medical device interface to the electronic medical record (EMR) and to clinicians (device alarms) – completing the last mile of end-to-end medical device integration – potentially unleashing clinical innovation and lowering overall costs.

Key Points: • Standards-based capabilities can be integrated directly into the medical device – the “last mile of connectivity.”

• An infusion-pump reference design is used to show information flow using current and emerging standards Simulated Patient Controlled Analgesia (PCA) infusion Pump data shall be communicated to an EMR, ensuring full semantic

consistency and correct communication of alarms to clinicians.

• Device platforms, software and tools that greatly facilitate system implementation and deployment are becoming available.

• Tools support interoperable device development, integration and validation of standards conformance.

• Research on standards-enabled technology is becoming available to provide solutions that remove the need to deploy proprietary medical device interoperability solutions.

Care Theme: HIT InnovationsUse Case Medical Device Integration – Completing the Last Mile

Use Case 18

IHE

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Domain Profile Organizations ActorsI.T. Infrastructure (ITI) CT West Health Institute, NIST Time Client

Patient Care Device (PCD)

ACM West Health Institute, NIST Alarm ReporterDEC West Health Institute, NIST Device Observation Reporter & ConsumerIPEC West Health Institute, NIST Device Observation Reporter & ConsumerDPI * Wind River, West Health Inst. Infusion Pump – PCA (Agent & Manager)

DS-IP* Wind River, West Health Inst. Device Specialization – Infusion Pump – PCA (Agent & Manager)

* Profile under development, target publication for Trial Implementation: 2013/2014 cycle

Supportive Vendors Description

GE HealthcareAccepts messages from the DEC/Device Observation Reporter (DOR) into an electronic medical record (EMR) application for review by clinicians.

Philips HealthcareAccepts messages from the ACM/Alarm Reporter and routes them through a cellular enterprise messaging service provider to a clinician’s smart phone. (ACM AM & AC actors)

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